COUNSELING CENTER OF SANTA MONICA - A PSYCHOLOGICAL CORPORATION
NPI 1235716978
Substance Abuse Rehabilitation Facility in Lake Elsinore, CA

Active since March 27, 2021
3611 LAKE CREST DR, LAKE ELSINORE, CA 92530(951) 457-2493 Get Directions Write a Review

NPPES record last updated: March 27, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Substance Abuse Rehabilitation Facility

About COUNSELING CENTER OF SANTA MONICA - A PSYCHOLOGICAL CORPORATION

This page provides the complete NPI Profile along with additional information for Counseling Center Of Santa Monica - A Psychological Corporation, a provider established in Lake Elsinore, California operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1235716978 assigned on March 2021. The practitioner's primary taxonomy code is 324500000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Reuben Vaisman-tzachor (Clinical Director)

NPI
1235716978 Verify this NPI
Provider Name
COUNSELING CENTER OF SANTA MONICA - A PSYCHOLOGICAL CORPORATION
Entity Type
Organization
Location Address
3611 LAKE CREST DR LAKE ELSINORE, CA 92530
Location Phone
(951) 457-2493
Mailing Address
1731 BARRY AVE APT 112 LOS ANGELES, CA 90025
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-27-2021
Last Update Date
03-27-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Substance Abuse Rehabilitation Facility

Taxonomy Code
324500000X
Type
Residential Treatment Facilities
Taxonomy Description
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

REUBEN VAISMAN-TZACHOR

Authorized Official Title
CLINICAL DIRECTOR
Authorized Official Phone
(310) 477-6000

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235716978, enumerated as an "organization" on March 27, 2021.

The provider is located at 3611 LAKE CREST DR LAKE ELSINORE, CA 92530 and the phone number is (951) 457-2493.

Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.